치과시술을 위한 정주진정
Intravenous Sedation for Dental Procedure
김철홍, 윤지영,
소속 상세정보
김철홍 ( Kim Cheul-Hong ) - 부산대학교 치의학전문대학원 치과마취통증학교실
윤지영 ( Yoon Ji-Young ) - 부산대학교 치의학전문대학원 치과마취통증학교실
KMID : 0362720130510070398
Abstract
Apprehension and phobia regarding dental procedures are represent the most common deterrents in patients seeking dental care and very common. For these individuals, and others who cannot cooperateduring care, procedural sedation may permit completion of intraoralprocedures. In mostcases, the level of sedation may be kept at minimal to moderate levels permitting patient maintenance of their airway patency and ventilation. Unlike many medical procedures, the majority of dental procedures, no matter the depth of sedation, are performed in the presence ofcomplete analgesia provided by local anesthesia. Therefore, the goal of procedural sedation is to primarily suppress patient fear and apprehensionand gain cooperation. Any issues regarding actual pain are usually limited to that produced by the local anesthetic injections or, rarely, theextent of the procedure. For the extremely phobic patient, however, allaying apprehension may be very challenging. Intravenous titration of sedative drugs is the most effective route of administration to achieve this goal but requires advanced training beyond that provided in undergraduate training.
키워드
Intraveous sedation; procedure; phobia; pain
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